Membership Form

WCG MEMBERS.COM

Wealth Capital Group, LLC "Strategies You Can Trust"

Membership Form

WCG CARD Membership Information Form
WCG CARD $9.99

The WCGCARD allows members to giveback to their favorite
community organization while benefiting from a variety of Financial
Services such as POS transactions, wire transfers, prepaid calling
card feature, payroll services and more!

The WCGCARD can be used at over a million retailers and inter-
nationally at any STAR® or PLUS® ATM You control the amount of
money you want to load onto your card or transfer to your
companion card, anytime, daily, weekly, monthly, it’s up to you!

* Please note that SSN is for ID purpose only, there is NO CREDIT CHECK to get a card!

Date:
First Name:
Last Name::
Address Street:
City:
State:
Zip Code:	(5 digits)
Phone:
Mobile Phone::
Email:
Date of Birth:
Social Security:
Taxpayer I.D. Number:
Other Information: (Only if you do not have a Social Security)
Are you a U.S. Citizen (Y/N):
Passport Number:
Alien I.D. Card Number:
Country of Issuance:
Non Profit Organization Information:
Organization Name:
Contact Name:
Title:
Membership Size:
Address:
City:
State:	(5 digits)
Zip Code:
Type of Origanization:
Phone:
Fax:
Email:
Website:
EIN/Tax Exempt #:
Type Signature (Certifies that all above information is correct):